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|
Attributes | |
ACN | 440786 |
Time | |
Date | 199906 |
Day | Wed |
Local Time Of Day | 0001 To 0600 |
Place | |
Locale Reference | intersection : saffa |
State Reference | FO |
Altitude | msl single value : 9000 |
Environment | |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | tracon : lszh.tracon |
Operator | common carrier : air carrier |
Make Model Name | B767-300 and 300 ER |
Operating Under FAR Part | Part 121 |
Navigation In Use | other |
Flight Phase | descent : approach |
Route In Use | arrival star : tgosz |
Flight Plan | IFR |
Person 1 | |
Affiliation | company : air carrier |
Function | flight crew : captain oversight : pic |
Qualification | pilot : atp |
ASRS Report | 440786 |
Person 2 | |
Affiliation | company : air carrier |
Function | flight crew : first officer |
Qualification | pilot : atp |
ASRS Report | 440787 |
Events | |
Anomaly | non adherence : clearance |
Independent Detector | other flight crewa other flight crewb |
Resolutory Action | none taken : detected after the fact |
Supplementary | |
Problem Areas | Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Air Traffic Incident | Pilot Deviation |
Narrative:
At end of tango arrival zrh, proceeded beyond clearance limit without any clearance for a variety of reasons, fatigue, rushed, behind the descent, hand-flying, cockpit distractions, scenery, relatively inexperienced at the airport, lack of good CRM between first officer and captain, in that both pilots thought about not proceeding but did not communicate their concerns to each other. Captain closed a route discontinuity that would have prevented it. The STAR is clearly depicted, but in the rushed descent and hand flown environment, I missed the depiction. In the future I will brief stars and approachs at TOD, not just the approachs.
Original NASA ASRS Text
Title: A BOEING 767 FLC PROCEEDED BEYOND CLRNC LIMIT ON ARR TO ZRH.
Narrative: AT END OF TANGO ARR ZRH, PROCEEDED BEYOND CLRNC LIMIT WITHOUT ANY CLRNC FOR A VARIETY OF REASONS, FATIGUE, RUSHED, BEHIND THE DSCNT, HAND-FLYING, COCKPIT DISTRACTIONS, SCENERY, RELATIVELY INEXPERIENCED AT THE ARPT, LACK OF GOOD CRM BTWN FO AND CAPT, IN THAT BOTH PLTS THOUGHT ABOUT NOT PROCEEDING BUT DID NOT COMMUNICATE THEIR CONCERNS TO EACH OTHER. CAPT CLOSED A RTE DISCONTINUITY THAT WOULD HAVE PREVENTED IT. THE STAR IS CLRLY DEPICTED, BUT IN THE RUSHED DSCNT AND HAND FLOWN ENVIRONMENT, I MISSED THE DEPICTION. IN THE FUTURE I WILL BRIEF STARS AND APCHS AT TOD, NOT JUST THE APCHS.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.